One-trocar transumbilical laparoscopic-assisted management of Meckel's diverticulum in children.

Abstract

PURPOSE:

Transumbilical laparoscopic-assisted intestinal surgery using only "one trocar" is a very minimal invasive procedure. The authors present their experience for the management of Meckel's diverticulum.

MATERIALS AND METHODS:

Between January 2001 and December 2004, 9 transumbilical laparoscopic-assisted procedures were performed for Meckel's diverticulum. The median age of the patients was 6.1 years (range, 6 months-13.6 years). Six patients were admitted for intestinal bleeding and technetium-99m pertechnetate scan was positive in 3. Three patients had recurrent abdominal pain and abdominal ultrasound scan showed a cystlike structure. An intraumbilical Hasson 10-mm trocar was inserted in an open fashion. Using a 10-mm operative laparoscope, the terminal ileum was grasped with an atraumatic instrument and exteriorized through the umbilicus. Ileal exploration and treatment were performed extracorporeally.

RESULTS:

Meckel's diverticulum was identified in 8 patients and ileal duplication in 1 patient: intestinal resection/anastomosis (n = 7) or excision of diverticulum (n = 2) was performed. There were no operative complications. Median hospital stay was 4 days (range, 3-7 days). At a median followup of 24 months (range, 3-51 months), all patients are asymptomatic.

CONCLUSION:

Our results indicate that the one trocar transumbilical laparoscopic-assisted procedure is safe and effective for the diagnosis and treatment of Meckel's diverticulum, with excellent cosmetic results.

• Authors: Giovanni Cobellis, Alba Cruccetti, L Mastroianni, G Amici, A Martino
• Journal: Journal of laparoendoscopic & advanced surgical techniques. Part A (J Laparoendosc Adv Surg Tech A) Vol. 17 Issue 2 Pg. 238-41 (Apr 2007) ISSN: 1092-6429 [Print] United States
• PMID: 17484657 (Publication Type: Journal Article)

Topics

• Adolescent
• Child
• Child, Preschool
• Female
• Humans
• Ileum (abnormalities, surgery)
• Infant
• Laparoscopy (methods)
• Male
• Meckel Diverticulum (surgery)
• Retrospective Studies
• Treatment Outcome